Active NPI
Kevin L Goins, RPH
- Community/Retail Pharmacy
- Fort Worth, TX
National Provider Identifier
1336749837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 35742
- Practice address
- 8520 N Beach St
Fort Worth, TX 76244-4918 - Phone
- (817) 514-9524
- Fax
- (817) 514-9439
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 35742 | TX | Primary |
Addresses
Primary practice location
8520 N Beach St
Fort Worth, TX 76244-4918
Mailing address
8202 Ithaca Dr
Arlington, TX 76002-4423
Phone (214) 476-1601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35742 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1336749837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 ITHACA DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024423",
"telephone_number": "214-476-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8520 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444918",
"telephone_number": "817-514-9524",
"fax_number": "817-514-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOINS",
"first_name": "KEVIN",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "35742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.